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青光眼治疗中的纳米医学:当前挑战与未来展望。

Nanomedicine in glaucoma treatment; Current challenges and future perspectives.

作者信息

Iqbal Haroon, Razzaq Anam, Zhou Dengming, Lou Jiangtao, Xiao Run, Lin Fu, Liang Yuanbo

机构信息

State Key Laboratory of Ophthalmology, Optometry and Visual Science, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China.

National Clinical Research Center for Ocular Diseases, Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, 325027, Zhejiang, China.

出版信息

Mater Today Bio. 2024 Sep 4;28:101229. doi: 10.1016/j.mtbio.2024.101229. eCollection 2024 Oct.

Abstract

Glaucoma presents a significant global health concern and affects millions of individuals worldwide and predicted a high increase in prevalence of about 111 million by 2040. The current standard treatment involves hypotensive eye drops; however, challenges such as patient adherence and limited drug bioavailability hinder the treatment effectiveness. Nanopharmaceuticals or nanomedicines offer promising solutions to overcome these obstacles. In this manuscript, we summarized the current limitations of conventional antiglaucoma treatment, role of nanomedicine in glaucoma treatment, rational design, factors effecting the performance of nanomedicine and different types of nanocarriers in designing of nanomedicine along with their applications in glaucoma treatment from recent literature. Current clinical challenges that hinder real-time application of antiglaucoma nanomedicine are highlighted. Lastly, future directions are identified for improving the therapeutic potential and translation of antiglaucoma nanomedicine into clinic.

摘要

青光眼是一个重大的全球健康问题,影响着全球数百万人,预计到2040年患病率将大幅上升至约1.11亿。目前的标准治疗方法是使用降眼压眼药水;然而,患者依从性和药物生物利用度有限等挑战阻碍了治疗效果。纳米药物为克服这些障碍提供了有前景的解决方案。在本手稿中,我们总结了传统抗青光眼治疗的当前局限性、纳米药物在青光眼治疗中的作用、合理设计、影响纳米药物性能的因素以及在纳米药物设计中不同类型的纳米载体,以及它们在近期文献中青光眼治疗的应用。突出了阻碍抗青光眼纳米药物实时应用的当前临床挑战。最后,确定了未来的方向,以提高抗青光眼纳米药物的治疗潜力并将其转化为临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46a3/11409099/084e52843b9a/ga1.jpg

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